Organization
ROSS DIAGNOSTIC IMAGING MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE WEERASINGHE (OPERATIONS MANAGER)
(213) 431-0393
Entity
Organization
Contact information
Practice address
1325 OLEANDER AVE, CHESAPEAKE, VA 23325-3745
(213) 431-0393
Mailing address
1325 OLEANDER AVE, CHESAPEAKE, VA 23325-3745
(213) 431-0393
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396344859
NPPES
VA
Enumeration date
11/18/2020
Last updated
11/18/2020
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